Breech Presentation

Publication Title: 
Midwifery Today with International Midwife

Techniques for turning a term breech baby are 1). External cephalic version (ECV) using hands and ultrasound only; 2). Acupuncture point stimulation, by needle or moxibustion; 3). Chiropractic "Webster" technique; 4). Hypnotherapy; and 5). Special exercises. Fifty % of breech fetuses at 34 weeks will turn by themselves to head down by 38 weeks. Therefore, to be considered effective, a technique for turning breech must turn the baby and keep it turned more than 50% of the time.

Author(s): 
Cohain, Judy Slome
Publication Title: 
Gynécologie, Obstétrique & Fertilité

OBJECTIVES: To evaluate the efficacy and acceptability of external cephalic version (ECV). MATERIALS AND METHOD: From 2004 to 2008, 212 pregnant women between 34-37 weeks of gestation with fetus in breech presentation were included in a randomized clinical trial and 125 externals cephalic versions were studied. RESULTS: A success rate of 37.6%t was recorded. At 34 weeks of gestation, 80.6% of women were considering an ECV in the event of persistent breech position at 37 weeks. These women expressed the desire to give birth vaginally (52% versus 24.4%, P<0.001).

Author(s): 
Pichon, M.
Guittier, M.-J.
Irion, O.
Boulvain, M.
Publication Title: 
Archives of Gynecology and Obstetrics

OBJECTIVE: To examine the delivery mode and neonatal outcome after a trial of external cephalic version (ECV) procedures. STUDY DESIGN: This is an interim analysis of an ongoing larger prospective off-centre randomised trial, which compares a clinical hypnosis intervention against neuro-linguistic programming (NLP) of women with a singleton breech foetus at or after 37(0/7) (259 days) weeks of gestation and normal amniotic fluid index. Main outcome measures were delivery mode and neonatal outcome.

Author(s): 
Reinhard, Joscha
Sänger, Nicole
Hanker, Lars
Reichenbach, Lena
Yuan, Juping
Herrmann, Eva
Louwen, Frank
Publication Title: 
The American Journal of Clinical Hypnosis

Three to four percent of full-term singleton pregnancies present themselves as breech deliveries. External cephalic version (ECV) is a procedure to try to turn a breech fetus to cephalic by externally maneuvering the fetus through the maternal abdomen. This trial examines a clinical hypnosis intervention against standard medical care of women before ECV.

Author(s): 
Reinhard, Joscha
Heinrich, Tomas M.
Reitter, Anke
Herrmann, Eva
Smart, Wiebke
Louwen, Frank
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt to facilitate ECV.

Author(s): 
Cluver, Catherine
Gyte, Gillian M. L.
Sinclair, Marlene
Dowswell, Therese
Hofmeyr, G. Justus
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To survey members of the International Chiropractic Pediatric Association (ICPA); regarding the use of the Webster Technique for managing the musculoskeletal causes of intrauterine constraint, which may necessitate cesarean section. METHODS: Surveys were mailed to 1047 US and Canadian members of the ICPA. RESULTS: One hundred eighty-seven surveys were returned from 1047 ICPA members, constituting a return rate of 17.86%. Seventy-five responses did not meet the study inclusion criteria and were excluded; 112 surveys (11%) provided the data.

Author(s): 
Pistolese, Richard A.
Publication Title: 
Journal De Gynécologie, Obstétrique Et Biologie De La Reproduction

Fetal breech presentation at term is more and more treated by a planned cesarean section. Considering the increased maternal morbidity and mortality in relation to abdominal delivery versus vaginal birth, natural and innocuous methods have been proposed for the promotion of a spontaneous fetal cephalic version during the last two Months of pregnancy. In order to stimulate fetal motility many techniques have been described, either advising postural methods (passive bridge, Indian version, knee-chest position) or using acupuncture (stimulation of the fifth toe and auricular points).

Author(s): 
Boog, G.
Publication Title: 
Complementary Therapies in Nursing & Midwifery

Pregnant women with a third trimester breech presentation are almost invariably offered Caesarean section as the mode of delivery of first choice, especially when external version has failed to turn the fetus to cephalic. However, increasingly women are resorting to alternatives, to avoid either operative delivery or manipulative intervention in late pregnancy. This paper reviews some of the options for women with breech presentation, focusing especially on integrating these options into conventional maternity care.

Author(s): 
Tiran, Denise
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To survey members of the International Chiropractic Pediatric Association (ICPA); regarding the use of the Webster Technique for managing the musculoskeletal causes of intrauterine constraint, which may necessitate cesarean section. METHODS: Surveys were mailed to 1047 US and Canadian members of the ICPA. RESULTS: One hundred eighty-seven surveys were returned from 1047 ICPA members, constituting a return rate of 17.86%. Seventy-five responses did not meet the study inclusion criteria and were excluded; 112 surveys (11%) provided the data.

Author(s): 
Pistolese, Richard A.
Publication Title: 
Journal De Gynécologie, Obstétrique Et Biologie De La Reproduction

Fetal breech presentation at term is more and more treated by a planned cesarean section. Considering the increased maternal morbidity and mortality in relation to abdominal delivery versus vaginal birth, natural and innocuous methods have been proposed for the promotion of a spontaneous fetal cephalic version during the last two Months of pregnancy. In order to stimulate fetal motility many techniques have been described, either advising postural methods (passive bridge, Indian version, knee-chest position) or using acupuncture (stimulation of the fifth toe and auricular points).

Author(s): 
Boog, G.

Pages

Subscribe to RSS - Breech Presentation